| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,548.13 | $8,317.64 | $16,982.44 | |
Cigna
| Facility | $2,630.27 | $2,630.27 | $2,630.27 | |
Horizon BCBS
| Facility | $21,877.62 | $33,884.42 | $52,480.75 | |
United
| Facility | $4,466.84 | $9,772.37 | $25,118.86 |